Damage control of multiple injuries headed by cervical spinal cord injury / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
; (6): 45-48, 2008.
Article
in En
| WPRIM
| ID: wpr-236735
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the strategy of damage control in clinical treatment of multiple injuries headed by cervical spinal cord injury.</p><p><b>METHODS</b>A retrospective analysis was performed in 32 patients. Cervical fractures associated with tetraplegia occurred in 18 patients, traumatic intervertebral disk hernia associated with tetraplegia in 2 patients, and cervical fractures and dislocation associated with tetraplegia in 12 patients. Seventeen cases were combined with craniocerebral injury, 7 combined with pulmonary contusion, multi-fractures of rib or hemopneumothorax, 2 combined with pelvic fracture and other 8 combined with fracture of limbs. The neural function was assessed by the American Spinal Injury Association (ASIA) scale.</p><p><b>RESULTS</b>Thirty-one patients were followed up for an average of 14 months. Of them, 10 got complete recovery, 13 obtained improvement of more than one ASIA grade, 8 did not improve, and 1 died.</p><p><b>CONCLUSIONS</b>For the emergency treatment of multiple injuries headed by cervical spinal cord injury, the damage control strategy is the principle to follow. The final operations are preferably performed within 5 to 10 days after injury so as to raise the successful rate of remedy.</p>
Full text:
1
Index:
WPRIM
Main subject:
Quadriplegia
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Spinal Cord Injuries
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General Surgery
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Wounds and Injuries
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Multiple Trauma
/
Cervical Vertebrae
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Retrospective Studies
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Emergency Treatment
Type of study:
Observational_studies
Limits:
Adolescent
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Adult
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Female
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Humans
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Male
Language:
En
Journal:
Chinese Journal of Traumatology
Year:
2008
Type:
Article